Organization Active NPI

The New York Doctor PLLC

  • Pulmonary Disease Physician
  • Tampa, FL
National Provider Identifier
1629835707
Registry record updated Mar 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
Legal business name
THE NEW YORK DOCTOR PLLC
Practice address
2727 W Dr Martin Luther King Jr Blvd Ste 760
Tampa, FL 33607-6358
Phone
(813) 374-0406
Fax
(813) 374-0940
NPI assigned
Mar 5, 2024
Last updated
Mar 20, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ahmed Aly Abdelfadil, MDNPI 1023072709
Title
President
Phone
(908) 400-4507

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X NU Primary
Sleep Medicine (Internal Medicine) Physician 207RS0012X NU

Addresses

Primary practice location

2727 W Dr Martin Luther King Jr Blvd Ste 760
Tampa, FL 33607-6358

Mailing address

2727 W Dr Martin Luther King Jr Blvd Ste 760
Tampa, FL 33607-6358
Phone (813) 374-0406

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20240403000375 FL Part B Supplier - Clinic/Group Practice 7911345491 Receives reassigned benefits from 1 practitioner
Practice locations: Tampa, FL
O20241126004000 FL DME Supplier - Physician - Pulmonary Disease 7911345491 Practice locations: Tampa, FL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1709596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710892800000",
    "number": "1629835707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2727 W DR MARTIN LUTHER KING JR BLVD STE 760",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076358",
            "telephone_number": "813-374-0406",
            "fax_number": "813-374-0940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2727 W DR MARTIN LUTHER KING JR BLVD STE 760",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336076358",
            "telephone_number": "813-374-0406",
            "fax_number": "813-374-0940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE NEW YORK DOCTOR PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-05",
        "last_updated": "2024-03-20",
        "certification_date": "2024-03-20",
        "status": "A",
        "authorized_official_last_name": "ABDELFADIL",
        "authorized_official_first_name": "AHMED",
        "authorized_official_middle_name": "ALY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "908-400-4507",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.